{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:48:43Z","timestamp":1787496523569,"version":"build-2736575974"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:00:00Z","timestamp":1667433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:00:00Z","timestamp":1667433600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T00:00:00Z","timestamp":1667433600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"BME-IDEA International Students Grants Program, VentureWell Grants; \u201cSaving Intestines at Birth: Gastroschisis Silos for Sub-Saharan Africa","award":["20538-20"],"award-info":[{"award-number":["20538-20"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Gastroschisis mortality in sub\u2010Saharan Africa (SSA) remains high at 59\u2013100%. Silo inaccessibility contributes to this disparity. Standard of care (SOC) silos cost $240, while median monthly incomes in SSA are\u2009&lt;\u2009$200. Our multidisciplinary American and Ugandan team designed and bench\u2010tested a low\u2010cost (LC) silo that costs\u2009&lt;\u2009$2 and is constructed from locally available materials. Here we describe in vivo LC silo testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A piglet gastroschisis model was achieved by eviscerating intestines through a midline incision. Eight piglets were randomized to LC or SOC silos. Bowel was placed into the LC or SOC silo, maintained for 1\u2010h, and reduced. Procedure times for placement, intestinal reduction, and silo removal were recorded. Tissue injury of the abdominal wall and intestine was assessed. Bacterial and fungal growth on silos was also compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no gross injuries to abdominal wall or intestine in either group or difference in minor bleeding. Times for silo application, bowel reduction, and silo removal between groups were not statistically or clinically different, indicating similar ease of use. Microbiologic analysis revealed growth on all samples, but density was below the standard peritoneal inoculum of 10\n                      <jats:sup>5<\/jats:sup>\n                      CFU\/g for both silos. There was no significant difference in bacterial or fungal growth between LC and SOC silos.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>LC silos designed for manufacturing and clinical use in SSA demonstrated similar ease of use, absence of tissue injury, and acceptable microbiology profile, similar to SOC silos. The findings will allow our team to proceed with a pilot study in Uganda.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-022-06797-2","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T15:02:36Z","timestamp":1667487756000},"page":"545-551","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Low Cost Gastroschisis Silo for Sub\u2010Saharan Africa: Testing in a Porcine Model"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4556-1218","authenticated-orcid":false,"given":"Harold J.","family":"Leraas","sequence":"first","affiliation":[{"name":"Department of Surgery Duke University School of Medicine, DUMC Box 3815 27710 Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arushi","family":"Biswas","sequence":"additional","affiliation":[{"name":"Pratt School of Engineering Duke University Durham NC 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K.","family":"Surana","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Duke University Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Ssekitoleko","sequence":"additional","affiliation":[{"name":"Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julius","family":"Mugaga","sequence":"additional","affiliation":[{"name":"Makerere University Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Salzman","sequence":"additional","affiliation":[{"name":"Pratt School of Engineering Duke University Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Pathology Duke University Durham NC 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